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        <div id="registration">
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                <h2>Registracija na sajt TattooPortal.org</h2>
            </div>

            <div class="clearfix page_body">
                <p>Pre registracije upoznajte se sa našim <a class="modal_act" href="{$url}/?page=uslovi_koriscenja">uslovima korišćenja</a>. Lični podaci koje unesete ovom prilikom neće biti zloupotrebljeni. Nakon popunjavanja ove forme dobićete e-mail sa linkom za aktivaciju Vašeg naloga.</p>
                <p>Polja označena zvezdicom (<span class="mark_required">*</span>) su obavezna.</p>
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                        <div class="col">
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                                <label class="lab_block w105" for="ime"><span class="mark_required">*</span>Ime i prezime:</label>
                                <input class="inp_text w210 required" id="ime"  name="ime" type="text" /><br />

                                <label class="lab_block w105" for="username"><span class="mark_required">*</span>Korisničko ime:</label>
                                <input class="inp_text w210 required" id="username" name="username" type="text" /><br />

                                <label class="lab_block w105" for="password"><span class="mark_required">*</span>Lozinka:</label>
                                <input class="inp_text w210 required" id="password" name="password" type="password" /><br />

                                <label class="lab_block w105" for="password_repeat"><span class="mark_required">*</span>Ponovite lozinku:</label>
                                <input class="inp_text w210 required" id="password_repeat" name="password_repeat" type="password" /><br />
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                            <fieldset>
                                <label class="lab_block w105" for="">Datum rođenja:</label>


                                <select class="inp_select w80" id="mesec_datum_rodjenja" name="mesec_datum_rodjenja">
										{include file="month_opt.tpl"}
                                </select>
                                <select class="inp_select w60" id="dan_datum_rodjenja" name="dan_datum_rodjenja">
										{include file="day_opt.tpl"}
                                </select>
                                <select class="inp_select w60" id="godina_datum_rodjenja" name="godina_datum_rodjenja">
										{include file="year_opt.tpl"}
                                </select><br />



                                <label class="lab_block w105" for="grad"><span class="mark_required">*</span>Grad:</label>
                                <input class="inp_text w210 required" id="grad" name="grad" type="text" /><br />

                                <label class="lab_block w105" for="drzava"><span class="mark_required">*</span>Država:</label>
                                <select class="inp_select w210 required" id="drzava" name="drzava">
                                    <option>--- Izaberi državu ---</option>
										{include file="state_opt.tpl"}
                                </select><br />
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                            <fieldset>
                                <label class="lab_block w105" for="telefon">Telefon:</label>
                                <input class="inp_text w210" id="telefon" name="telefon" type="text" /><br />

                                <label class="lab_block w105" for="email"><span class="mark_required">*</span>E-mail:</label>
                                <input class="inp_text w210 required email" id="email" name="email" type="text" /><br />

                                <label class="lab_block w105" for="www">Web:</label>
                                <input class="inp_text w210" id="www" name="www" type="text" /><br />
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                                <label class="lab_block w105" for="studio">Studio:</label>
                                <input class="inp_text w210" id="studio" name="studio" type="text" /><br />

                                <label class="lab_block w105" for="adresa_studija">Adresa:</label>
                                <input class="inp_text w210" id="adresa_studija" name="adresa_studija" type="text" /><br />

                                <label class="lab_block w105" for="telefon_studio">Telefon:</label>
                                <input class="inp_text w210" id="telefon_studio" name="telefon_studio" type="text" /><br />

                                <label class="lab_block w105" for="email_studio">E-mail:</label>
                                <input class="inp_text w210" id="email_studio" name="email_studio" type="text" /><br />

                                <label class="lab_block w105" for="www_studio">Web:</label>
                                <input class="inp_text w210" id="www_studio" name="www_studio" type="text" /><br />
                            </fieldset>
                            <fieldset>
                                <label class="lab_block w105" for="file">Odaberi sliku:</label>
                                <input class="inp_file w210" id="fileToUpload" name="file" type="file" /><br />

                                <label class="lab_block w105" for="osebi">Moto &frasl; O Sebi:</label>
                                <textarea class="inp_area w210" id="osebi" name="osebi" cols="" rows="5"></textarea><br />
                            </fieldset>
                            <fieldset>
                                <label class="lab_check ml105" for="prikaz_email"><input class="inp_check" id="prikaz_email" name="prikaz_email" type="checkbox" value="1" />Ne prikazuj moju ličnu e-mail adresu</label><br />
                                <label class="lab_check ml105" for="prikaz_telefon"><input class="inp_check" id="prikaz_telefon" name="prikaz_telefon" type="checkbox" value="1" />Ne prikazuj moj ličnu telefon</label>
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                            <br />
                            <label class="lab_check" for=""><input class="inp_check" id="pravila" name="" type="checkbox" value="" /><span class="mark_required">*</span>Slažem se sa <a class="modal_act" href="{$url}/?page=uslovi_koriscenja">uslovima korišćenja</a></label><br />
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                            <input class="inp_btn" id="register_btn" name="Submit" type="submit" value="Registruj se" />
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